20020205.pdfDATE RCCEIV�, PERMIT EXPIRES
I.KIE NERMM.ER
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION APT,
ADDRESS
OWNER NAMEMAME OF BLI :NESS
PLAT NAME)SUM DIVISION NO, LOT NO, 10 Q
o
MAILINGADORESS LID FEES
PUBLIC RIGHT OF WAY PER OFFICIAL STREET'MAP P�P'APPId
c eF_ rlr-- -ivy 26
C CIT'y zip TELEPHONE STING — PROPOSED--
T
—110-14- 471�4)1-2- jQZ,5._qqc_.3j z/ qEOUNREDDEMCATION— FT
�WT� �jE
NAME __METE� LINE SIZ� NO, OF FIXTURES P$VeQUIRED
III/ ; I YES N
t:
ADOBES R MARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
E
3
:N611 j?kr:, 4 L �7 g r Xv X 3
C C'T' III
ITY zip JTELEPHGNE K�fir_ LIFWC�,,j a, n7,
I '77irlA_ '�' L_
o'i kr-- �r
cz C/& I I -- 7_� __:;�a?
FIRE REVIEWED By DATE
CITY zip
IS on-mo-L- el�vrx-1
TELEPHONE I
�2m'-_ 1""40-3KV
STATE LICENSE NUMBER EXPIRATION DATE�
C BY
VARIANCE OR CLI
SHORELINE OF; AD84
INSPECTION
I 'B.ND
OSTED
12A
'ZICKED
YREO
ES _VNO
SERA REVIEW
COMPLETE I EXEMPT
EXT, y
SIGN AREA
A ED lj��
HEIGHT
ALLOWS. PROP.SEf
p T PARCEL N 0'
E.I.-TIAL
XNEIN PLUMBING I MECH
0 ADDITION COMMERCIAL o C MPUANCEOR
CHANGE OF USE
REMODEL APARTMENT SIGN
A LOT COVERAGE
Ig
REQUIRED SETBACK$ (FTJ
SIDE BEAR
PROPOSED SETBACKS (FT.)
FRONT RSI E NEAR
u
PA;&NG
EOD PROVIDED
LOTAREA,
rW;E�A�E,
0 REPAIR S 0 FINCE
0 DEMOLISH TANK o OTHER
GARAGE RETAINING WALL RENEWAL
ADARP.RT 0 no QXIERY C3
r IT E05U :BU INESSORACTIVtTY) EXPLAIN:
CONSTRUCTION
I-Trr
OCCUPANT
GROUP
NUMBER
A OF
STORIES 2-
NUMBE14 OF
DWELLING
UNITS
SPECIAL INSPECTO
R D S R
SQUIRE j
0 YE
AREA QC -PA
al' To ED '!�
�2
REMARKS
PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION RED'
(R`�
VALUATION
FEE
PLAN CHECK FEE
'K F
L
BU I
,�EAT'SOIRCE
PLAN CHECK NO: TIED DATE
PLUMBING
CH —CAL
THIS PERMIT AUTHORIZES ONLY I Hi WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADIN.1i"LL
DOMAIN (CURB$, SIDEWALKS, DRIVEWAY$, MARQUEES. ETC.) WILL REQUIRE
3 SEPARATE PERMISSION.
STATE S
PERMIT APPLICATION: 180 DAYS
t PERMIT LIMIT I YEAR, PROVIDED W RK IS STARTED WITHIN 18D DAYS
ENG REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
FNQ INSPECTION FEE
A PPLICANT. N BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCFSORS
o
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
IMP
EDMONDS. WASHING FON, ITS OFFICIALS. EMPLOYEES. AND AGE N I S TOM ANYAND
INSPECTION FEF
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
PERMIT SHALL NOT BE
m FROM THE ISSUANCE OF THIS PEsmir. ISSUANCE OF THIS
D DEEMED TO MODIFY. WAIVE OR REDUCE ANY REOUIREMENTOF ANY CITY ORDINANCE
PIAN C.1 'ECK DE1051T
NORUMP IN ANYWAY THE CITY S ABILITY TO ENFORCE ANYORDINANCE PROVISION
__
101AL ANOUN I DUE
1 HERESY ACKNOWLEDGE T14AT I HAVE READ THIS APPLICATION� THATTHE INFORMATION
APPLICATION APPROVAL
GIVEN RECT, ANDTHAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNSER' I AGREE TOCOMPLYWITH CITYAND STATE LAWS REGULATING CONSTBUC
PERSON WILL BE EMPLOYED
CALL
U... "'hll Glplty Ald
TION 'TIE AUTHORIZED fHEREBY. NO
ATI��NIPCF r THE STATE 0 WASHINGTON RELAHNG 70
IN Vj.oAL NO BE
FOR INSPECTION
WORK CI PEN E AND RCW 18,27
OFF IALSSIGNATURE
(425)
771-0220
ED BY D T�Ya
4R
WfTEN'fION
EXT 333
U
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE NTIL
771-0221
S ECTION HAS BEEN MADE AND APPROVAL OR A
A FINAL IN P CERTIFI-
ORIGINAL - FILE - YELLOW INSPECT
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
FAX
PINK - OW14ER - GOLD - ASSESSOR
5,98
Z
9
0
Fn -4
0 m
c m
0
0
M
M Z
jo -i
0 -n
n
m m
- cl)
0 r-
0 M
C (a
C cn
M 0
Z
rl
X
_q
Z
-4
Z
m
Grading Colo.
Lot Area: 8310s.r. Descrip, Area Depth' CutC.Y. F111C.Y.
Building Area: 2029 s.f Bldg. Pad Excavation 2150 2.5 199
Lot Coverage: 24.4% Garage Pad Excay. 904 2 67
Lot Slope: 1.1% Fdn. Perimeter Backfill 1194 2 88
Garage Backfill 636 IS 42
Lot Fill & Grading 6000 0.25 56
Driveway Fill 0
(q Interior Fdr, Fill 1270 0.67 32
Totals 266 218
V
C3V
%o
-'10- UTILITY -s
EASEMENT (SI,
>
or
CON(.
DRIVEWA
PRI111CM A
V7 Ing �7
OWNER TOR IS
EROSII
A
TEMMAKY CONST ON
LLOQjT 14-
-N
ENTRANCE REQUIR 8,310 SF
0
impervious Surface
Colo. (Proposed)
Bldg. Pad 1270
Garage 636
1�
Driveway 1475
Cov. Porch 123
"IPRPCEIVED
10' 20' 40'
60,
Corc. Patio 154
Gar. Stoop 0
20 h Sidewalk 96
1 20'
FEB 1 9
Total 3764
BUILDING [1EPT.
HALL
S�i 11 L
Contact: Ron Trickett
20611-E Bothell-Evrt. Hwy.
PMB 336
Site Address: 18103 691h Pl. W.
Legal: Lot 14 Olympic View Crest
HOM E S
X�A�R
Bothell, WA 98012
Tix/Parcel H: 009064-000-014-00
Phone: (206) 940-3154
Zoning: fl�'8
Building lite Quality Drea-
License: MARSHH1076RI
z
0
Ma
M
j0-4
z
0 -n
0
Fn
M 0,
Z r-
z
HEIGHT CALCS.
Grades
Lot Area: 8310s.f. WATER & SEWER
Point A
Existing Allowed
Building Area: 2029 9.
INSPECTIONS REQ'D
B
U6.10
349.47
Lot Coverage: 24.4%
Lot Slope: &M CALL' 425-771-0220 EX7.1326
C
346.06
D
345.61
Avg. Grade
346.81 346.81
GLITTER OWNSPOVfS
To CONN T TO EXISt. SYST.
Act. Sjdg� Ht.
Allow. Bldg, Ht
Addft. Adj. to Avg. Grade
24.86 N/A
N/A 25.00
0.00 NIA
Max'M'
371.67 371.81
Proposed Allowed
V Fit Thk & 6- grd. cir. 0.688
Proposed Fin, Fli. Elev.
347.60
0, UTIUTY -x
e
'ASEMENT
COAK. '9
DRIVEWAY
1476's.r- :
CO. If,
V
17. 1�
A OVED 8 TE -0
Date:
p SCALE: V= 2 -
10, 20' 40' 60'
1 20'
k- Cd
ARSHALL
HOMFS-
Builifing the Quality Dream
7
7
14
8,310 SF
lb -
impervious Surface
Catc. (Proposed)
Bldg. Pad 1270
Garage 636
Driveway 1475
REcEIV5D Coy. Ponch 123
Coric. Pago 154
FEB 1 9 2002 4. Gar. Stoop 0
Sidewalk 96
BUILDING DEPT,/ Total 3754
Contact: Ron Trickeft
20611-E Bothelt-Evrt. Hwy. Site Address: 18103 Wh Pl. W.
PMB 336 Legal: Lot 14 Olympic View Crest
Bothell, WA 99012 Tax/Parcel #: 009064-000-014-00
?hene: (2 1 GAIL41 CA
License: MAiWW4�;76RI
z
0
Height Calculation Worksheet
Address:
Date:
Inspector(s):
yyN
1. Datum Point: VV\
2. Datum Point Elevation:
0,
M.
3. Average Grade:
-4"W
4. Maximum Elevation Allowed:.Tadrb� lojl(aveage grade) 25, 5-71 0'
0 m:
C
5. Reference Point Elevation Shot to House:
in 0
0 C. ,
(datum elevation)+ (grade to transit.level line shot to house) =TV,
ITT All
6. Measurements from line shot onto house to roofridge:
r,
Icy
0 -ni
in III:
Dal
0
0 Fn:
mo�
0
4
Total
in
7. Actual Elevation: rence point elevation) + (measurements
fronift)= 3-7CD,5'1
Conclusion:
37b i (actual) is greater -th.ji 971, (allowed); therefore the house is/
is not over the height requiremedrper'ECDC 1-6.20.30 requirements
LATEWMILDINGWISOHeight Cakulaflon Worksheet.doc
FINAL PROJECT APPROVAL FORM
TO: —
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE —
evz�:r DIVISION DATE 021012—
-ENGINEERING
z
0
PLANNING DIVISION DATE—
0
M
PROJEC
SITE ADDRESS -2,
M
M 0
PERMIT #_s200 �A- 02 �Q�ADB# D 9((g,]0,z_
INSPECTI
0
80
M M
DESCRIPTION OF WORK TO BE INSPECTED
z
A field inspection was conducted to determine final compliance with approved plans. Final approval
ca;
denotes that there are no objections from the above signed Department to the release of
0 -n
PERFORMANCE BONDS and the granting of
M M
Cn
r-
GRANT FINAL PROJECT APPROVAL
0 M
C co
g Zn
M 0
z
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
-4
z
u Copy of CONDITIONS given to owner/contractor by inspector
-4
z
0
q
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
5
M
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign_
ocaprvl.doc.l:temp:bldg:fonnsIO/OI
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
wall
V Pier/Porch ................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
WS
Rough -in ...................
Commercial Final
HEATING:
Gas Test ..........
Gas Piping ................
Equipment .................
Commercial Final
E)CrERIOR SHEATHING
NAILING
.................
FRAMING ........................
tmS C
FIRST FLOOR FRAMING,
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SH EETROCK NAILING
SPECIAL INSPECTION
Jig
MISCELLANEOUS ..........
FINAL APPROVAL FOR
I� YZI
OCCUPANCY ..................
%000
SideSewerfl'—
Prid $
Amout —a57—'Recelpt
nntehs=3� x1pires
Ar-Cunt rla-Jlalg�Rcceipt It MLL'12
.1 kt I
Dc-L-Parr-hased
z
m
am
IC:
M
0
80
C
0
0
0
C
0
z
9
0
m